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1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases.

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Presentation on theme: "1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases."— Presentation transcript:

1 1980198219841986 1988 199019921994199619982000200220042006 Number of Tuberculosis Cases: California, 1930-2006 Number of Tuberculosis Cases

2 Number of Tuberculosis Cases and Case Rates: California, 1997-2006 Number of Cases Case Rate per 100,000 Number of Cases Case Rate per 100,000 Population

3 Tuberculosis Cases by Race/Ethnicity: California, 2006 Asian/Pacific Islander 1,223 (44.0%) Hispanic 1,068 (38.4%) Unknown 4 (0.1%) Black 208 (7.5%) American Indian/ Alaska Native 9 (0.3%) White 267 (9.6%)

4 Tuberculosis Case Rates by Race/Ethnicity: California, 1997-2006 Cases per 100,000 Asian/Pacific Islander Black Hispanic American Indian/Alaska Native White

5 Tuberculosis Cases in Foreign-born and U.S.-born Persons: California, 1997-2006 Number of Cases Percent of Cases

6 Tuberculosis Cases by Country of Origin: California, 2006 U.S.-born 630 (22.7%) Foreign-born 2,136 (76.9%) Unknown 13 (0.5%) Philippines 427 (20.0%) Mexico 670 (31.4%) All Others 770 (36.0%) Vietnam 269 (12.6%) 67

7 Tuberculosis Cases in Persons 0-4 Years of Age: California, 1997-2006 Number of CasesPercent of Cases Number of Cases Percent of Cases

8 Tuberculosis Cases by Verification Criteria: California, 2006 Provider Diagnosis 199 (7.2%) Positive Culture 2,241 (80.6%) Clinical Case 326 (11.7%) Positive Smear 13 (0.5%)

9 Deaths in Persons with Tuberculosis: California, 1996-2004 Percent of Cases Number of Deaths Dead at Diagnosis Died During Treatment Died Before Starting Treatment Percent Dying with Tuberculosis

10 Tuberculosis Cases by AIDS Diagnosis*: California, 1995-2004 Number of Cases with AIDS Percent of Cases with AIDS * Match found in AIDS Case Registry, California Office of AIDS. Number of Tuberculosis Cases with AIDS Percent of Tuberculosis Cases with AIDS

11 AIDS-associated Tuberculosis* by Race/Ethnicity: California, 1995-2004 Number of Cases with AIDS Hispanic Black White Asian/Pacific Islander American Indian/Alaska Native * Match found in AIDS Case Registry, California Office of AIDS.

12 Tuberculosis Cases with Multidrug-resistance (MDR) on Initial or Final Drug Susceptibility Testing*: California, 1995-2004 Number of MDR Tuberculosis Cases *Cases with resistance to at least isoniazid and rifampin reported on the Initial Drug Susceptibility Report (Follow-up 1) or on the Case Completion Report (Follow-up 2). 58 48 47 39 42 35 39 43 34 40

13 Tuberculosis Cases with Initial Multidrug- resistance (MDR)*: California, 2002-2006 *Cases with initial drug resistance to at least isoniazid and rifampin. Long Beach Pasadena Berkeley San Francisco  25 Cases 15-24 Cases 5-14 Cases 1-4 Cases None Initial MDR Cases: 2002-2006

14 Tuberculosis Cases 1 by Outcome of Therapy in Reporting Jurisdiction: California, 2004 Completed Therapy  12 Months 2,075 (71.5%) Completed Therapy >12 Months 313 (10.8%) Moved 2 234 (8.1%) Died 183 (6.3%) Lost 3 49 (1.7%) Refused 10 (0.3%) Other 18 (0.6%) 1 Patient alive at diagnosis and started on an initial drug regimen of one or more drugs. 2 Patient moved to another jurisdiction with a known forwarding address before treatment was completed. 3 Patient could not be located prior to the completion of treatment. No Info 22 (0.8%)

15 Completed Therapy  12 Months 18 (20.2%) Completed Therapy >12 Months 38 (42.7%) Moved 3 13 (14.6%) Died 10 (11.2%) Lost 4 4 (4.5%) No Information 5 (5.6%) 1Treatment in the jurisdiction reporting the case. 2 Includes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease. 3 Patient moved to another jurisdiction with a known forwarding address before treatment was completed. 4 Patient could not be located prior to the completion of treatment. Refused 1 (1.1%) Outcome in Tuberculosis Cases 1 for Whom Greater than One Year of Treatment was Indicated 2 : California, 2004

16 Completed Therapy  12 Months 18 (20.2%) Completed Therapy >12 Months 38 (42.7%) Moved 3 13 (14.6%) Died 10 (11.2%) Lost 4 4 (4.5%) No Information 5 (5.6%) 1 Treatment in the jurisdiction reporting the case. 2 Includes cases with rifampin resistant disease, cases with meningeal disease, and cases less than 15 years of age with disseminated tuberculosis disease. 3 Patient moved to another jurisdiction with a known forwarding address before treatment was completed. 4 Patient could not be located prior to the completion of treatment. Refused 1 (1.1%) Outcome in Tuberculosis Cases 1 for Whom Greater than One Year of Treatment was Indicated 2 : California, 2004

17 Completion of Tuberculosis Therapy: California,1995-2004 Completed Completed in 1 year or less Note: Excludes cases with rifampin resistant disease, cases with meningeal disease, cases less than 15 years of age with disseminated tuberculosis disease, and those that died during treatment.


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